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Louisiana rates for HCPCS B9004

Parenteral Nutrition Infusion Pump Portable (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,769.95 / $2,891.71 / $3,043.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.95 / $3,043.90 / $3,043.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.39 / $2,216.42 / $2,269.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $2,414.23 / $3,298.03